| NPI | 1447327812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM 85-210) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 143206) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX G4310) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 8656) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |